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Why is it different for a diabetic to eat first and to eat first?

Many people have this question, why does my blood sugar suddenly rise when I eat the main food first, that is, rice buns first.

Because our stomach to the absorption of food is a sequence, if we eat first staple food is rice and steamed bread, they are fine grains, high carbohydrate, in other words, compared to vegetables they belong to the high glycemic index of the food, so the priority of eating blood glucose elevation fast, if you eat vegetables first the result is not the same, the glycemic index of the vegetables are relatively low, especially the leafy vegetables. So if we eat vegetables first and then eat the meal, the blood sugar rises slowly.

The correct order of meals for diabetics:

① Eat vegetables first, preferably leafy vegetables

②Then eat protein food ➕ Staple food

Below is an example: start with sautéed leafy vegetables → scrambled eggs with tomatoes → chicken breast in cold sauce ➕ meat in sauce with mixed grain rice

People with diabetes should chew each bite 30 times or more, if possible, to achieve full absorption of nutrients.


Author:Jiaxiu

National Level II Public Nutritionist

Registered Dietetic Technician

I'm sure many of my diabetic friends will hear their doctors talk about the order of meals over and over again when they are preaching about diet.

The order of eating recommended by your doctor is: vegetables - protein - staples.

Prof. Shukla, a scientist in the United States, once made a special study to observe what kind of eating order is the most suitable for diabetic friends. The chart below shows the difference between eating carbohydrates first and later, and you can see that the change in blood sugar is very obvious.Let's take a look at a clinical observation done by the professor of eating vegetables first, rice first, and a mixture of vegetables and rice, and see how postprandial blood glucose changes after the 3 different meal sequences.

The graph below represents the results of postprandial blood glucose. The blue line is with vegetables and protein first, the yellow line is with rice first, and the green line is with a mixture of rice and vegetables. From the graph, it can be seen that the green line and the yellow line show a clear peak, that is, the patient's postprandial blood glucose rises significantly at 1 hour after the meal, the green line rises a little more obviously, and the yellow line is on the low side, but it is very close to the trend of the green line. The blue line is in a relatively stable state, and the blood glucose only reaches the highest point 2 hours after the meal, and even still lower than the yellow and green lines.

At 3 hours after the meal the yellow and green lines dropped rapidly, to levels lower than the blue line.

From these results, it can be analyzed that eating vegetables first can significantly reduce the magnitude of blood glucose fluctuations. This is because the vegetables eaten first form a fiber network in the gastrointestinal tract, and when staple foods such as rice are eaten later, the fiber network temporarily isolates the rice from the gastrointestinal mucous membranes and slows down the digestion and absorption of the rice, thus slowing down the rise in postprandial blood glucose.

For diabetic friends taking glucose-lowering drugs, if you eat rice first, your blood glucose rises rapidly and then falls rapidly, and hypoglycemia may occur during the 2-3 hours of blood glucose decline, which is usually the time of action of preprandial glucose-lowering drugs, especially short-acting insulinotropic agents or insulin, which can cause excessive fluctuations in blood glucose, which can lead to the emergence of chronic complications of diabetes mellitus.

Eating rice first or a mixture of rice and vegetables gives about the same results, but of course the mixture is slightly better than eating rice first.

This is one reason why we repeatedly emphasize the order in which we eat our meals, to eat vegetables first, vegetables first, vegetables first, it's important to say it 3 times. The order is important, what you eat is actually more important, if you just love carbs then what order is there to speak of, the first thing that is emphasized is that all kinds of nutrients are there, if you eat one alone then you are wrong.

I'm Dr. Sun, pay attention to Dr. Sun talk about sugar, continue to learn more quality health knowledge, help please like, have questions please leave a message, will reply!

[Professional doctor to answer your questions

I do not know how many diabetic patients have compared the meal first eat vegetables and eat first after the blood glucose high and low what is the difference, personally have done the comparison will be surprised hair, the two ways of eating the difference is very big, for example, 2 hours after the meal blood glucose can be 1-2mmol / L difference, which for many people, the relationship between the control of whether or not they can reach the target. For example, the 2 hour postprandial loose control target cannot exceed 10.0mmol/L, and it's clear how much of a difference that 1-2 mmol/L will make.

And such an effect can be achieved by such a simple change as eating the meal first and then the main course, which has been specifically verified by an expert, and the results are:

  • Those who ate the main meal first followed by meat and vegetables had an average blood glucose of 11.05 mmol/L 1 hour after the meal and 9.3 mmol/L 2 hours after the meal
  • Individuals who ate meat and vegetables before the main course at meals had an average blood glucose of 7.0 mmol/L 1 hour after the meal and 7.8 mmol/L 2 hours after the meal

Many people may not believe this, in fact, this is the body's natural physiological characteristics of the decision, because meat is a high-protein food, compared to carbohydrates in the staple food, digestion and absorption is much slower, and will not directly raise blood sugar levels; and vegetables almost no carbohydrates, eaten into the blood sugar will not have an impact.

More importantly, meat in the protein and vegetables in the dietary fiber into the gastrointestinal, can occupy more gastrointestinal space, quickly eliminate hunger, not only can reduce the amount of food, but also play a "sponge absorbent" role, slowing down the small intestine to grapes, fat absorption rate, thereby reducing the magnitude of postprandial blood sugar. And this way of eating, postprandial blood glucose is rising gently, to the highest peak 2 hours after the meal began to fall, different from the first eat staple food and then eat meat and vegetables after the postprandial blood glucose first in the first hour after the meal to reach the peak of the rapid rise, and then began to fall and 2 hours after the meal is still at a high level, effectively avoiding large fluctuations in blood glucose, which is also blood glucose control than simply controlling hyperglycemia is also important.

Therefore, people with high blood sugar and diabetes who adopt a meal style that starts with meat and vegetables and ends with the main meal will have unexpected benefits in controlling blood sugar.

I hope this answer can help you, welcome to click on the attention and leave a message, together to learn and exchange more health knowledge.

Hello, eat vegetables first, our gastrointestinal tract first contact is low sugar sparse vegetables (dietary fiber), it will consume a part of the digestive juices, so that after entering the meal (staple food) digestion slower, so that the staple food is converted into polysaccharide and then converted into glucose (blood glucose) slower, this time the blood glucose will rise a little slower, if the meal (staple food) will be digested and absorbed carbohydrates first (starch, polysaccharide, If you eat first (staple food), you will digest and absorb carbohydrates (starch, polysaccharides, glucose) first, and then your blood sugar will rise more and faster, and your blood sugar will fluctuate greatly, which will adversely affect your cardiovascular system and even your body as a whole!

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To control blood glucose, the choice of food for diabetic patients is certainly very important, but the correct order of meals should not be ignored, which can help diabetic patients to control the amount of food and adjust the diet structure. Guangdong, a sugar lover, usually strict control of diet, medication is also used in accordance with the doctor's instructions, but also able to cooperate with the postprandial exercise. However, his blood sugar always fluctuates, after the platform dietitian's in-depth understanding, he found that the original Guangdong people's dietary habits are to drink soup before meals, then eat and vegetables, then we suggested that he eat vegetables first, then eat meat, then eat staple food, and then drink soup in the order, and then his blood sugar stabilized on the same day. This shows how much the dietary order affects blood sugar.

"Warm reminder: Eat meal first eat crude fiber vegetables, so that can increase the sense of satiety, unconsciously reduce the intake of staple food. If you need to control the intake of staple food, you should eat more vegetables first during meals. Staple food should be less sparse and more dry, eat more food rich in dietary fiber, such as millet, nest, etc., these coarse grains digested in the stomach for a long time, the blood sugar rises slower, can effectively inhibit diabetic patients with postprandial glucose rise. Diabetic patients should minimize the intake of high-fat foods, so foods such as meat should be eaten after the main meal. Diabetic patients eat a certain amount of staple food, the intake of meat will naturally be reduced accordingly. As for the order of soup by two sayings: one is the first soup, soup before meals, especially hot soup, both warm stomach, but also able to relieve hunger, to avoid swallowing. But note that the soup should be light. After drinking soup first eat crude fiber vegetables, increase the sense of satiety, so that will unconsciously reduce the intake of the main food behind. One argument is to drink soup after a meal: put the soup to the last drink, because the first soup, will soon feel full, but will soon feel hungry again, so the soup should be put to the last drink. Both arguments have their own truths and sometimes vary from person to person, so sugar lovers can feel their way in practice. If you have a dynamic glucose monitor, it will be easier to analyze the impact of different diets on blood glucose changes, so that it is convenient to make timely dietary adjustments, so that you can enjoy the food and keep your blood glucose stable!



[Diabetics eat in order to adjust their blood sugar better!

Drink some soup before the meal soup zui good at the beginning of the meal to eat, enough water not only can immediately make the stomach to get satisfied, so as to inhibit zhi appetite, but also to prevent the speed of eating too fast. Of course, you should not drink too much, small half bowl is appropriate. Drinking too much soup leads to excessive dilution of gastric juices, easy to digest together with not liang. first eat vegetables vegetables calories are relatively low, eat more will not let the blood sugar rise too fast. In addition, vegetables contain more fiber, which can not only reduce blood sugar, but also repair the function of the pancreas. And the stomach will have a sense of fullness, and then go to eat staple foods, meat, etc., can be very good control of intake, so that the blood fat, blood sugar levels lower. Then eat meat usually eat at the beginning of digestion and absorption faster, eat vegetables, and then with meat, can better control the intake of fat. zui after eating the main food to ensure that vegetables, meat eat enough at least 10 minutes, zui after eating the main food. About the reason for eating vegetables first after eating, vegetables contain more dietary fiber, can extend the decomposition time of carbohydrates, thus delaying the absorption of sugar in the small intestine, and then delay the postprandial blood glucose drastically increased. In addition, when the vegetables and meat eat a half-full, the speed of eating slows down, eat less rice accordingly, but also help weight loss and sugar control.

For most people, the matter of eating is very casual, want to eat, want to eat whatever first, but for diabetics this is a problem.

It is recommended that diabetic patients eat some vegetables before eating, vegetables with dietary fiber can have a better sense of satiety, but also to promote intestinal peristalsis, to prevent constipation.

Eating vegetables first allows enough dietary fiber to enter the stomach to be slowly digested, and the rise in blood glucose becomes slower, and also reduces the intake of staple foods afterwards, effectively controlling blood glucose concentration.




Eat first, then eat the noodles. It's slow.

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